Provider Demographics
NPI:1740539451
Name:DONATO, ALEXIS (MFT)
Entity type:Individual
Prefix:
First Name:ALEXIS
Middle Name:
Last Name:DONATO
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:ALEXIS
Other - Middle Name:
Other - Last Name:GRIMLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:800 POLLARD RD
Mailing Address - Street 2:SUITE B207
Mailing Address - City:LOS GATOS
Mailing Address - State:CA
Mailing Address - Zip Code:95032-1415
Mailing Address - Country:US
Mailing Address - Phone:408-384-8554
Mailing Address - Fax:408-379-3741
Practice Address - Street 1:800 POLLARD RD
Practice Address - Street 2:SUITE B207
Practice Address - City:LOS GATOS
Practice Address - State:CA
Practice Address - Zip Code:95032-1415
Practice Address - Country:US
Practice Address - Phone:408-384-8554
Practice Address - Fax:408-379-3741
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-10
Last Update Date:2012-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA44732106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist